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Iowa rates for HCPCS A4407

Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 in or smaller, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $10.00 / $10.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $7.08 / $10.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.41 / $7.41 / $13.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $14.13 / $17.78
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $12.30 / $15.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.32 / $13.49 / $79.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $7.41 / $20.42
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $14.13 / $15.85
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.80 / $13.80 / $13.80
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $20.42 / $20.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.55 / $5.13 / $8.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $6.17 / $11.22
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $10.96 / $10.96